NACE EXAM 1 LATEST EXAM 2024 | ALL QUESTIONS AND ANSWERS WITH EXPLANATIONS | ALREADY GRADED A+ | PROFESSOR VERIFIED | LATEST EXAM (JUST RELEASE D) A patient who has been awaiting chemotherapy treatment becomes suddenly very anxious and exhibits rapid pulse, trembling and diaphoresis. Which response is the most helpful? A. " Take deep breaths and rela x" B. " What were you thinking about right before you started feeling bad? C. " Dont worry. Everything will be fine D. " Try to think of something positive instead of worrying" ------CORRECT ANSWER --------------- B. " What were you thinking about right befo re you started feeling bad? Explanation: The response that is most helpful if a patient who has been awaiting chemotherapy treatment suddenly becomes anxious and exhibits rapid pulse, trembling, and diaphoresis is " What were you thinking about right befor e you started feeling bad?" This encourages the patient to focus less on the physical reactions and more on feelings and to discuss the source of anxiety Admonitions to stop worrying are usually not helpful, although some some patients may benefit from dee p breathing and relaxation especially if they have practiced the technique as a way to reduce stress. Which of the following religions forbid the eating of pork? Select all that apply. A. Judaism B. Islam C. Latter Day Saints ( Mormon) D. Hinduism ------CORRECT ANSWER --------------- A. Judaism B. Islam The religious that specifically forbid the eating of pork are Judaism and Islam. Although many Hindus to be unclean because they eat garbage and cool Adults should receive the tetanus, diphtheria, and pertussis (Tdap) vaccination A. Every 10 years B. One time C. Annually D. Every 5 years ------CORRECT ANSWER --------------- A. Every 10 Years Adults should receive the tetanus, diphtheria, and pertussis (Td ap) vaccination one time. Then, every 10 years the patient should have the Td booster, which serves as booster for tetanus and diphtheria, but not pertussis. Tdap is usually given at age 11 or 12, but adults who did not receive this vaccination should do s o as soon as possible. Woman who are pregnant should also receive the Tdap vaccination in order to provide protection from pertussis for the neonate. Which cultural/ethnic group is likely to experience a condition referred to as. " ghost sickness", whic h may involve having bad dreams or exhibiting abnormal behavior? A. Navajo B. Chinese C. Hispanic D. Hmong ------CORRECT ANSWER --------------- A. Navajo Explanation: The cultural/ethnic group that is likely to experience a condition referred to as "ghost si ckness", which may involve having bad dreams or exhibiting abnormal behavior, is the Navajo as well as a few other tribes. Some Navajo individuals believe that ghost sickness is caused by evil spirits and treatments requires overcoming this spirit though a healing ritual. Patients may be terrified and complain of weakness and loss of appetite. Patients often believe that one particular deceased person is causing the problem because the person was not properly buried or cared for after death. In order to prevent food poisoning, ground beef should be cooked to A. 125 F B. 140 F C. 160 F D. 180 F ------CORRECT ANSWER --------------- C. 160 F In order to prevent food poisoning, ground beef should be cooked to 160 F. Ground beef should not be served rare becaus e it is more likely to be contaminated because the grinding process mixes the bacteria throughout the meat whereas solid pieces of meat have surface contamination in cooking. Poultry should also always be cooked well done and to a minimum of 165 F, althoug h many authorities recommend cooking to 180 F. A patient has no blanching erythema of intact skin over the coccygeal area. Which of the following treatment may be indicated? Select all that apply. A. Frequent turning B. Massage of the reddened area C. Application of alcohol to the reddened area D. Application of transparent dressing over the reddened area. ------
CORRECT ANSWER --------------- A. Frequent turning D. Application of transparent dressing over the reddened area. If a patient has no blanchin g erythema of intact skin over the coccygeal area, this is a stage 1 pressure ulcer. Treatments that may be indicated include frequent turning and positioning the patient to avoid pressure on the reddened area. A transparent dressing may be applied to prot ect the skin as well. Pressure -reducing devices, such as foam overlays, are indicated. The patient should be kept clean and dry with adequate nutrition and fluid intake. Peak flow meters are used to measure the A. Airflow after normal exhalation B. Air flow after normal inhalation C. Highest airflow during forced inhalation D. Highest airflow during forced exhalation. ------CORRECT ANSWER -------
-------- D. Highest airflow during forced exhalation Peak flow meters measure the highest airflow during forced exhalation. Peak flow is usually monitored for patients with moderate to severe asthma because it can help to determine when airflow is impaired. Typically, the meters are set for each individual , with a green range that indicates the patient is doing wel l, a yellow range that indicates airflow has decreased and the patient may need intervention and a red range that indicates the patient is in an emergent situation and needs immediate medical attention. A patient has slipped down in the bed and is in an uncomfortable position. Which of the following nursing actions should be avoided? A. Use a slip sheet and an assistant to move the patient. B. Sit the patient on the side of the bed and have the patient move up C. Grasp the patient on the arms from the h ead of the bed and pull D. Instruct the patient on the use of trapeze to change position. ------
CORRECT ANSWER --------------- C. Grasp the patient under the arms from the head of the bed and pull. If a patient has slipped down in the bed and is in an uncom fortable position, the nursing action that should be avoided is to is grasp the patient under the arms from the head of the bed and pull. This is not only uncomfortable for the patient and increases the risk of friction damage to the skin but also increase s the risk of back injury to the nurse. Various methods can be used to move the patient , including the use of slip sheet or trapeze. Which of the following complications is most common with Crohn's Disease? A. Rectal Bleeding B. Fistulas C. Tenesmus D. Toxic mega colon ------CORRECT ANSWER --------------- B. Fistulas Fistulas are a common complication of Crohn's disease. Fistulas may develop between layers of intestines or between intestines and the bladder or vagina. Crohn's disease is one type of infl ammatory bowel
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